超声及实验室检查在流行性腮腺炎防治中的应用及分析

Application of ultrasound and clinical laboratory examinations to prevention and treatment of epidemic parotitis

目的:探讨超声及实验室检查在流行性腮腺炎及并发症的防治和预后价值。方法:对240例流行性腮腺炎患者进行彩色多普勒超声检查,并与实验室结果及临床进行对照,比较分析结果。结果:240例流行性腮腺炎患者早期均有一侧或双侧腮腺及颈部淋巴结肿大、血流信号明显增多、高速高阻型频谱等特征性改变,结合实验室超敏C反应蛋白、血淀粉酶及尿淀粉酶等可早期确诊流行性腮腺炎及并发症。结论:超声在流行性腮腺炎及并发症发生的早期即可明确诊断,结合实验室检查可为临床提供可靠依据,最大限度防止并发症的发生。

Objective To explore the values of ultrasound and clinical laboratory examinations for the prevention,treatment and prognosis of epidemic parotitis and its complications.Methods Totally 240 epidemic parotitis patients underwent color Doppler ultrasonography,and then the results obtained were compared with those by clinical laboratory examinations and clinical findings.Results Color Doppler ultrasonography showed characteristic changes of epidemic parotitis patients included unilateral or bilateral parotid and neck lymphadenectasis at early stage,increased blood flow signals and etc,which could be combined with the detection of hs-CRP,hemodiastase and urinary amylase in clinical laboratory to diagnose early epidemic parotitis and its complication.Conclusion Ultrasound can definitely diagnose early epidemic parotitis and its complications,and can be combined with the findings in clinical laboratory to prevent the complications.